Anesthesia Billing Software

For the last 20 years, Navaro Medical Solutions, Inc. (NMS) has specialized in meeting the needs of anesthesia practices and billing services. ProSourceMD offers a comprehensive and complete set of anesthesia billing software features to meet the billing and reporting needs of any anesthesia practice — we guarantee it.

Features Included in our Anesthesia Billing Software

Flexible time and fee calculation methods customizable down to a specific code for a specific carrier.

Fully automated time and fee calculation process.

Discontinuous time and multiple supervising or rendering providers for any claim.

A robust and fully automated concurrency calculation for medically-directed claims.

The ability to enter CPT surgery codes and anesthesia codes, along with other AQI clinical data.

Ability to enter physical statuses and modifiers that automatically add units or make adjustments to the charge as appropriate.

Checking and warning for overlapping times for the rendering provider based on prior claims entered.

Support for automated pain-management billing.

Proper formatting of all variations needed for paper and electronically formatted anesthesia claims for error-free handling.

A wide array of highly customizable reports, including an anesthesia analysis report that provides details about each procedure, the providers, facility, the number of base and time units billed, amount paid/unit, start and stop times, and more.

For our anesthesia customers who participate with the Anesthesia Quality Institute (AQI), we offer validations, pre-qualifications and automated uploads of claims data to AQI’s NACOR and the validation, entry and upload of anesthesia claims to AQI’s QCDR Registry.

Special Benefits for Anesthesia Practices

Complete adherence to Medicare time calculation rules

Default Medicare and Commercial time calculation schedules and Flexible custom time calculation schedules that can be linked to specific carriers and designed to accurately reflect any anesthesia billing requirement based on #units/hour, ability to enter different units for each hour of a procedure and set round up minute.

Automated and accurate time calculation of minutes and time units with ability to set billable minutes to be the same or less then calculated minutes.

Built in default CPT to ASA Code crosswalk, with potential overrides visible at claim level.

All CPTs preloaded with Medicare and ASA base units for anesthesia and pain management where appropriate.

Ability to enter multiple start and stop times for each service line.

Ability to enter multiple rendering or supervising providers on each service line, with automated calculation of appropriate billing providers.

The bottom line is that once set up, a user enters the procedure, start and stop time, and possibly a modifier, and the rest is fully automated, resulting in a correctly calculated and billed anesthesia claim every time. Faster data entry, maximum income, fewer errors and the elimination of any anesthesia billing knowledge for data entry means lower payroll cost for your Practice.

Concurrency schedules which include a preset for Medicare rules and the flexibility to set up automated concurrency rules for any carrier.

Ability to record whether a supervising provider was present at induction.

Proper application of all Medicare concurrency rules.

Ability to bill for non-employee providers who can be set up with no monthly fee.

Automated creation of rendering provider charge with option to create a separate claim or add charge at the service line level.

Ability to set up concurrency to be run for any carrier who requires concurrency modifiers.

Ability to exclude procedures from concurrency.

Ability to undo and re-run the concurrency process.

Import and TurboEDI

We have implemented an import of data into our anesthesia billing software from hospitals where they are using the new EPIC Anesthesia Module. This import allows for the creation of a complete Patient Demographic record in some cases and sometimes even all required elements of a new claim. It also contains a pdf file with full service information that we automatically link to the claim. It is a huge time saver. If your hospital is willing to follow the same processes, we can do the same for you.

Navaro Medical Solutions offers a supplemental program called TurboEDI that works with ProSourceMD to allow data to be imported from an 837P file into the ProSourceMD program, with only minimal editing required after import.